Official records, including the New York City medical examiner's 2019 autopsy and multiple Justice Department reviews, established Jeffrey Epstein's death by suicide in federal custody, with body identification and consistent investigative findings. Persistent conspiracy theories, amplified by 2026 document releases and debunked AI-generated images or online hoaxes claiming sightings, have produced no verifiable evidence or institutional reversal to support him being alive. Trader consensus at 96.5% against confirmation before 2027 reflects this settled factual record and the high evidentiary bar for altering an official ruling. Rare scenarios that could still shift the outcome include credible new forensic data, DNA confirmation from an authenticated source, or an authoritative government admission contradicting prior conclusions within the timeframe.